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Litchford Falls Health And Rehabilitation Center

8200 Litchford Road, Raleigh, NC 27615
9198787772
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Overall CMS Rating

1.0/5

vs State Average: 2.9 stars

2.0/5

Health Inspections

vs State Average: 2.9/5

1.0/5

Staffing Level

vs State Average: 2.7/5

2.0/5

Quality Measures

vs State Average: 3.2/5

2 penalties in last 3 years
Penalties
vs State Average: 1.6 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
May 8, 2025 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D
May 8, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E
May 8, 2025 Ensure each resident receives an accurate assessment. D
May 8, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D
May 8, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable. D
Score
1.0
State Average
2.7
National Average
2.9
0.4 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
69.2% RN Turnover Rate
Score
2.0
State Average
3.2
National Average
3.6
2.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
86.2 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST BEAVER, DONALD
OPERATIONAL/MANAGERIAL CONTROL CHOICE HEALTH MANAGEMENT, SERV LLC
OPERATIONAL/MANAGERIAL CONTROL UNIVERSAL HEALTH CARE / RALEIGH, INC
W-2 MANAGING EMPLOYEE YATES, BRENDA
Recent Penalties
Date Type Fine
Dec 17, 2024 Fine $177,911
Sep 28, 2023 Fine $3,962

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